Gautam S Popli, M.D.
Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology in Winston Salem, NC. Individual provider (NPI-1).
NPI number1528092277
StatusActive
Last updated in NPPESNov 15, 2010
Details
- NPI
- 1528092277
- Entity type
- Individual (NPI-1)
- Name
- Gautam S Popli
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 10, 2006
- Last updated
- Nov 15, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084N0402X | Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology | 2010-01677 | NC | Yes |
Practice location
Medical Center BlvdWinston Salem, NC 27157-0001
Phone 336-716-2255 · Fax 336-716-9016
Mailing address
Po Box 344Winston Salem, NC 27102-0344
Phone 336-716-2255 · Fax 336-716-9016
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Other Neurology with Special Qualifications in Child Neurology Physician providers in Winston Salem, NC
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- Annette Grefe, MDNPI 1689758831
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